Application and Affidavit for Testing FFI - City of Fargo
Application and Affidavit for Testing FFI - City of Fargo
Application and Affidavit for Testing FFI - City of Fargo
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<strong>Application</strong> <strong>and</strong> <strong>Affidavit</strong> <strong>for</strong> <strong>Testing</strong> <strong>FFI</strong><br />
As Chief/ Head <strong>of</strong> the ______________________________ Fire Department I request that<br />
_________________________ a member <strong>of</strong> this Department be permitted to test <strong>for</strong> <strong>FFI</strong>.<br />
We certify that the following requirements <strong>for</strong> testing have been met:<br />
1. The c<strong>and</strong>idate has met all requirements listed in NFPA 1001, Chapter 4 or those established<br />
by the authority having jurisdiction.<br />
2. The c<strong>and</strong>idate has met the additional requirements <strong>of</strong> CPR <strong>and</strong> medical training <strong>of</strong> NFPA<br />
1001.<br />
3. The c<strong>and</strong>idate has completed all training requirements <strong>for</strong> <strong>FFI</strong> <strong>and</strong> has been successfully<br />
evaluated <strong>and</strong> met the minimum job per<strong>for</strong>mance requirements (JPR) <strong>for</strong> live fire training<br />
prescribed in NFPA 1001.<br />
4. The c<strong>and</strong>idate shall have <strong>for</strong> review a training record that shows:<br />
a. A learning experience in each manipulative skill objective. (Sheets available on<br />
website‐ farg<strong>of</strong>ire.com)<br />
b. Dates <strong>of</strong> training<br />
c. Initials <strong>of</strong> instructors<br />
d. Total number <strong>of</strong> hours trained in each manipulative skill<br />
5. The c<strong>and</strong>idate shall be certified at the Hazardous Materials Awareness <strong>and</strong> Operations level<br />
as specified in the <strong>Fargo</strong> Fire Department Certification Policy <strong>and</strong> Procedures Manual<br />
(farg<strong>of</strong>ire.com).<br />
6. The c<strong>and</strong>idate has completed:<br />
a. IS‐700: Introduction to ICS<br />
b. IS 100: Introduction to ICS<br />
c. IS 200: Basic ICS<br />
By signing this document we certify that the requirements above have been completed.<br />
Chief/ Head <strong>of</strong> Department _________________________________________C<strong>and</strong>idate<br />
requesting <strong>FFI</strong> testing _____________________________________
<strong>Application</strong> <strong>and</strong> <strong>Affidavit</strong> <strong>for</strong> <strong>Testing</strong> <strong>FFI</strong>I<br />
As Chief/ Head <strong>of</strong> the ______________________________ Fire Department I request that<br />
_________________________ a member <strong>of</strong> this Department be permitted to test <strong>for</strong> <strong>FFI</strong>.<br />
We certify that the following requirements <strong>for</strong> testing have been met:<br />
1. The c<strong>and</strong>idate has met all requirements listed in NFPA 1001, Chapter 4 or those established<br />
by the authority having jurisdiction.<br />
2. The c<strong>and</strong>idate has met the additional requirements <strong>of</strong> CPR <strong>and</strong> medical training <strong>of</strong> NFPA<br />
1001.<br />
3. The c<strong>and</strong>idate has completed all training requirements <strong>for</strong> <strong>FFI</strong> <strong>and</strong> <strong>FFI</strong>I <strong>and</strong> has been<br />
successfully evaluated <strong>and</strong> met the minimum job per<strong>for</strong>mance requirements (JPR) <strong>for</strong> live fire<br />
training prescribed in NFPA 1001.<br />
4. The c<strong>and</strong>idate shall have <strong>for</strong> review a training record that shows:<br />
a. A learning experience in each manipulative skill objective. (Sheets available on<br />
website‐ farg<strong>of</strong>ire.com)<br />
b. Dates <strong>of</strong> training<br />
c. Initials <strong>of</strong> instructors<br />
d. Total number <strong>of</strong> hours trained in each manipulative skill<br />
5. The c<strong>and</strong>idate shall be certified at the <strong>FFI</strong>, Hazardous Materials Awareness <strong>and</strong> Operations<br />
level as specified in the <strong>Fargo</strong> Fire Department Certification Policies <strong>and</strong> Procedures Manual<br />
(farg<strong>of</strong>ire.com).<br />
6. The c<strong>and</strong>idate has completed:<br />
a. IS‐700: Introduction to ICS<br />
b. IS 100: Introduction to ICS<br />
c. IS 200: Basic ICS<br />
By signing this document we certify that the requirements above have been completed.<br />
Chief/ Head <strong>of</strong> Department _________________________________________C<strong>and</strong>idate<br />
requesting <strong>FFI</strong> testing _____________________________________
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